{template 'header'}
<ul class="nav nav-tabs">
    <li><a href="javascript:;">发抽奖订单</a></li>
</ul>
<form action="" method="post" class="form-horizontal" id="myform" role="form" enctype="multipart/form-data">
    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">奖品名称:</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" disabled="disabled" name="name" placeholder="奖品名称" value="{$luckSendData['name']}" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">发起人:</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" disabled="disabled" name="initiator" placeholder="发起人" value="{$luckSendData['initiator']}" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">中奖用户:</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" disabled="disabled" name="prizewinner" placeholder="中奖用户" value="{$luckSendData['prizewinner']}" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">收货人姓名:</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" disabled="disabled" name="names" placeholder="用户昵称" value="{$member['name']}" type="text">
        </div>
    </div>

    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">收货人电话</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" name="phone" placeholder="快递公司名字" value="{$member['phone']}"  type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">收货人地址:</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" name="address" placeholder="收货人地址" value="{$member['address']}" type="text">
        </div>
    </div>


    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">物流状态</label>
        <div class="col-sm-9 col-xs-12">
            <label class="radio-inline">
                <input type="radio" name="status" value="1"  checked /> 未发货
            </label>
            <label class="radio-inline">
                <input type="radio" name="status" value="2" />已发货
            </label>
            <label class="radio-inline">
                <input type="radio" name="status" value="3" />已完成
            </label>
            <label class="radio-inline">
                <input type="radio" name="status" value="4" />已取消
            </label>
        </div>
    </div>
    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">快递公司:</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" name="courier_name" placeholder="快递公司" value="" type="text">
        </div>
    </div>

    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label">快递单号:</label>
        <div class="col-sm-7 col-lg-8 col-md-8 col-xs-12">
            <input class="form-control" name="courier_number" placeholder="快递单号" value="" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="col-xs-12 col-sm-3 col-md-1 control-label"></label>
        <div class="" >
            <input type="hidden" name="op" value="send">
            <input type="hidden" name="id" value="{$luckSendData['id']}">
            <input type="hidden" name="type" value="2">
            <input type="submit" name="submit" id="submit" value="保存" class="btn btn-primary">
        </div>
    </div>
</form>
{template 'footer'}
